NPIMap

Organization Active NPI

Youth Services International Holdings, Inc.

  • Psychiatric Residential Treatment Facility
  • Knoxville, TN
National Provider Identifier
1245383942
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
L 237-066-1401 Issued in TN
Legal business name
YOUTH SERVICES INTERNATIONAL HOLDINGS, INC.
Doing business as
Reflections Treatment Agency
Practice address
6628 Central Avenue Pike
Knoxville, TN 37912-1400
Phone
(865) 219-9444
Fax
(865) 219-9555
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James F Slattery
Title
President
Phone
(941) 953-9199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X L 237-066-1401 TN Primary

Addresses

Primary practice location

6628 Central Avenue Pike
Knoxville, TN 37912-1400

Mailing address

6628 Central Avenue Pike
Knoxville, TN 37912-1400
Phone (865) 219-9444

Other identifiers 1

IdentifierTypeStateIssuer
146909000OtherTNMIS NUMBER

Other names 1

  • Reflections Treatment Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa Youth Academy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1245383942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 CENTRAL AVENUE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121400",
            "telephone_number": "865-219-9444",
            "fax_number": "865-219-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6628 CENTRAL AVENUE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121400",
            "telephone_number": "865-219-9444",
            "fax_number": "865-219-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SERVICES INTERNATIONAL HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SLATTERY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-953-9199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "TN",
            "license": "L 237-066-1401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS NUMBER",
            "identifier": "146909000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflections Treatment Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.